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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: <br />Date: <br />Permit: <br />2067 <br />12/06/2007 <br />Minerals <br />Jackson St Kelly PLLC <br />Stacie Johnson <br />1099 18th Suite 2150 <br />Denver CO 802020000 <br />2878 ~ 4400 ~ Mineral Copies <br />M-1977-378 M-1986-013 <br />$10.00 <br />Receipt Total: $10.00 <br />Page 1 of 1 <br />